Category: Conflict of Interest

  • 96. Case: Surgery, Supported Decision Making and Capacity

    Alex is a 27 year old resident in a supported living facility.  She has a diagnosis of developmental delay.  She is close with her younger brother, Anton.  Alex has identified Anton as someone who helps her to make decisions.  The organization that runs the facility where Alex lives has recently adopted a policy in favour…

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  • 94. Case: Conventional vs Chinese Medicine

    Lisa Chun is a 12-year-old recently diagnosed with Crohn’s disease.  She arrived as a refugee from China five years ago with her parents and her younger brother.  She has integrated well into the community and is successful in school.  She often acts as an interpreter for her parents. Lisa is prescribed corticosteroids and biologic therapies,…

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  • 93. Case: Mr. Rattan Wants to Stay

    Mr. Rattan has been a resident at Ocean Wind, a retirement community offering a range of options for accommodation, for the last ten years since his partner died.  Currently he has a studio apartment in the assisted living wing, which provides assistance with ADLs. Mr. Rattan has been diagnosed with dementia.  In the last few…

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  • 90. Case: What is Best for Angela?

    Angela Flores is a six year old with some minor developmental delays caused by traumatic birth.  She has recently been diagnosed with a brain tumor and her prognosis is poor.  The health care team is trying to determine goals of care and a develop treatment plan. Angela lives with and is cared for by her…

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  • 88. Case: Whose Problem Is It?

    Case substantially modified from “Obesity in Kids: When Appeals to Vanity Don’t Work,” Virtual Mentor 8(10): 377-380, October 2006 – see virtualmentor.ama-assn.org Nicholas has the option of spending the summer in an intensive weight reduction program at a health facility in Ontario. This highly regarded program accepts only 10 adolescents each summer, based on medical…

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  • 87. Case: Considering Alternatives

    Jessie Rockford is an 8-year-old with a history of developmental delay, significant cognitive deficits, and symptoms of cerebral palsy. She is her parents’ only child and they are very loving, attentive, and concerned–they never miss a medical appointment and have carefully followed the care plan drawn up for their daughter. However, with the passing of…

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  • 86. Case: Herbs in the Hospital

    Katrina Chen is a 23 year old with a history of severe anxiety and hospitalization after particularly acute panic attacks.  She has tried a variety of psychotropic medications and of these she believes that Prozac is the best at managing her symptoms.  She is concerned, however, with its addictive nature and doesn’t like taking “chemicals”.…

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  • 84. Case: Who’s Who

    Supported Decision Making and the Rights of Persons with Disabilities Freya Pedersen is a 23-year-old with a developmental disability.  The surgeon is discussing an upcoming surgery with Freya and her parents.  Freya tries to express herself, but it is hard to understand her speech.  The surgeon is in a rush and just hands the consent…

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  • 83. Case: Strings Attached

    Supported Decision Making and the Rights of Persons with Disabilities Freya Pedersen is a 23-year-old with a developmental disability.  The surgeon is discussing an upcoming surgery with Freya and her parents.  Freya tries to express herself, but it is hard to understand her speech.  The surgeon is in a rush and just hands the consent…

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  • 82. Case: Setting Up Shop

    Supported Decision Making and the Rights of Persons with Disabilities Freya Pedersen is a 23-year-old with a developmental disability.  The surgeon is discussing an upcoming surgery with Freya and her parents.  Freya tries to express herself, but it is hard to understand her speech.  The surgeon is in a rush and just hands the consent…

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